Jessica M Kanis in Indianapolis - Pediatric Emergency Medicine

Jessica M Kanis - NPI 1558442715

Jessica M Kanis is a Pediatric Emergency Medicine in Indianapolis, Indiana. Jessica M Kanis practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Jessica M Kanis is 1558442715. The last update date is 2022-08-30.

Jessica M Kanis's current location address is 705 Riley Drive, Indianapolis, Indiana. You can contact this provider via phone number 3179443936 and fax number 3179485844. The mailing address for Jessica M Kanis is 705 Riley Drive, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica M Kanis
Address 705 Riley Drive, Indianapolis, Indiana
Phone Number 3179443936
Fax Number 3179485844
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1558442715
Provider Enumeration Date 2006-10-17
Last Updated Date 2022-08-30

Provider Mailing Address Detail

Address 705 Riley Drive
City Indianapolis
State Indiana (IN)
Post Code 462025109
Phone Number 3179443936
Fax Number 3179485844

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No 01072885A
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201057370 IN --
835642 IN ANTHEM PIN

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FAQs about Jessica M Kanis

What is the unique 10-digit identifier code assigned to Jessica M Kanis by the Centers for Medicare & Medicaid Services?

The Jessica M Kanis has been issued the NPI (National Provider Identifier) 1558442715 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jessica M Kanis?

The Jessica M Kanis is situated at 705 Riley Drive, in the city of Indianapolis, state of IN, with the zip code 462025109.

What is Jessica M Kanis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jessica M Kanis is Pediatric Emergency Medicine, and the taxonomy code that classifies this field of practice is 2080P0204X.

On what date did Jessica M Kanis receive its 1558442715 assignment from the Centers for Medicare & Medicaid Services?

The Jessica M Kanis was assigned its 1558442715 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Jessica M Kanis's information last updated?

The Jessica M Kanis's information was last updated on 2022-08-30.

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